TABLE 1.
Isolate | MIC of antimicrobial agent (μg/ml)a
|
Type of enzymes produced | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
AMP | SAM | AMC | FOX | PIP | TZP | CRO | CTX | CTL | CAZ | TZL | FEP | IPM | MEM | ATM | CIP | LVX | AMK | GEN | TOB | ||
43/97 | >256 | 2 | 4 | 3 | >256 | 0.75 | 3 | 8 | 0.032 | 2 | 0.064 | 4 | 1.5 | 0.125 | 0.125 | 4 | 4 | 4 | 96 | 16 | TEM-52, TEM-1 |
1/98 | >256 | 4 | 6 | 3 | >256 | 0.5 | 4 | 8 | 0.032 | 2 | 0.064 | 4 | 3 | 0.064 | 0.094 | >32 | 8 | 3 | >256 | 6 | TEM-52 |
405/01 | >256 | 8 | 6 | 4 | >256 | 0.5 | 3 | 8 | 0.032 | 4 | 0.250 | 3 | 0.5 | 0.094 | 0.38 | >32 | >32 | 4 | >256 | 24 | TEM-92 |
130/02 | >256 | 2 | 6 | 2 | >256 | 0.38 | 8 | 32 | 0.094 | 1 | 0.032 | 3 | 2 | 0.047 | 0.064 | >32 | 16 | 3 | >256 | 8 | TEM-92, TEM-1 |
629/02 | >256 | 8 | 12 | 4 | >256 | 0.75 | 4 | 4 | 0.032 | 2 | 0.064 | 8 | 1 | 0.094 | 0.094 | >32 | >32 | 4 | >256 | 24 | TEM-92 |
139/03b | >256 | 4 | 8 | 4 | >256 | 0.5 | 4 | 8 | 0.032 | 2 | 0.064 | 32 | 1 | 0.064 | 0.125 | >32 | >32 | 4 | >256 | 24 | TEM-92 |
309/03b | >256 | 4 | 8 | 4 | >256 | 0.5 | 4 | 8 | 0.032 | 2 | 0.064 | 32 | 1 | 0.064 | 0.125 | >32 | >32 | 4 | >256 | 24 | TEM-92 |
463/03b | >256 | 4 | 8 | 4 | >256 | 0.5 | 4 | 8 | 0.032 | 2 | 0.064 | 32 | 1 | 0.064 | 0.125 | >32 | >32 | 4 | >256 | 24 | TEM-92 |
601/03 | >256 | 2 | 4 | 4 | >256 | 1 | 2 | 8 | 0.032 | 2 | 0.064 | 3 | 2 | 0.094 | 0.19 | >32 | >32 | 1.5 | 64 | 4 | TEM-92, TEM-1 |
A19/03 | >256 | 8 | 2 | 1.5 | >256 | 0.75 | 2 | 4 | 0.032 | 2 | 0.064 | 2 | 2 | 0.047 | 0.047 | 0.75 | 2 | 3 | 96 | 8 | TEM-92 |
A68/03 | >256 | 4 | 4 | 6 | >256 | 1 | 1.5 | 6 | 0.094 | 4 | 0.125 | 4 | 0.25 | 0.032 | 0.125 | 16 | >32 | 1 | 64 | 4 | TEM-92 |
65/99 | >256 | 4 | 0.5 | 1 | 0.125 | 0.125 | <0.016 | <0.016 | <0.016 | <0.016 | <0.016 | 0.064 | 0.5 | 0.023 | <0.016 | 0.016 | 0.032 | 1.5 | 0.5 | 0.75 | TEM-1 |
1289/01 | >256 | 4 | 3 | 1.5 | 0.5 | 0.19 | <0.016 | <0.016 | <0.016 | <0.016 | <0.016 | 0.047 | 0.75 | 0.032 | <0.016 | 1 | 4 | 1.5 | 12 | 2 | TEM-1 |
2501/01 | 0.5 | 0.5 | 0.38 | 2 | 0.125 | 0.125 | <0.016 | <0.016 | <0.016 | <0.016 | <0.016 | <0.016 | 1 | 0.032 | <0.016 | 0.016 | 0.032 | 1 | 0.5 | 0.75 | None |
2512/01 | 0.5 | 0.5 | 0.38 | 1 | 0.125 | 0.125 | <0.016 | <0.016 | <0.016 | <0.016 | <0.016 | <0.016 | 0.5 | 0.032 | <0.016 | 0.016 | 0.032 | 1 | 0.5 | 0.75 | None |
108/02 | >256 | 8 | 1.5 | 1.5 | 0.5 | 0.19 | <0.016 | <0.016 | <0.016 | <0.016 | <0.016 | 0.032 | 1 | 0.023 | <0.016 | 0.016 | 0.032 | 2 | 1 | 0.5 | TEM-1 |
461/02 | 0.5 | 0.5 | 0.38 | 1 | 0.125 | 0.125 | <0.016 | <0.016 | <0.016 | <0.016 | <0.016 | <0.016 | 0.75 | 0.032 | <0.016 | 0.032 | 0.047 | 1.5 | 0.5 | 0.5 | None |
683/02 | 0.75 | 0.5 | 0.38 | 1 | 0.125 | 0.125 | <0.016 | <0.016 | <0.016 | <0.016 | <0.016 | 0.094 | 1 | 0.032 | <0.016 | 0.016 | 0.032 | 2 | 0.5 | 0.75 | None |
794/02 | >256 | 2 | 0.5 | 1 | 0.125 | 0.125 | <0.016 | <0.016 | <0.016 | <0.016 | <0.016 | 0.064 | 0.5 | 0.023 | <0.016 | 0.016 | 0.032 | 6 | 128 | 32 | TEM-1 |
85/03 | 1 | 1 | 0.38 | 1 | 0.125 | 0.125 | <0.016 | <0.016 | <0.016 | <0.016 | <0.016 | 0.032 | 1 | 0.032 | <0.016 | 0.016 | 0.032 | 1.5 | 4 | 8 | None |
654/03 | >256 | 2 | 0.5 | 2 | 0.38 | 0.19 | <0.016 | <0.016 | <0.016 | <0.016 | <0.016 | 0.032 | 0.75 | 0.032 | <0.016 | 0.016 | 0.032 | 0.5 | 1 | 0.5 | TEM-1 |
753/03 | 0.5 | 0.5 | 0.38 | 1 | 0.125 | 0.125 | <0.016 | <0.016 | <0.016 | <0.016 | <0.016 | <0.016 | 1 | 0.032 | <0.016 | 0.016 | 0.032 | 2 | 0.5 | 0.75 | None |
A48/03 | 1 | 0.75 | 0.38 | 1 | 0.75 | 0.75 | <0.016 | <0.016 | <0.016 | <0.016 | <0.016 | <0.016 | 0.5 | 0.016 | <0.016 | 0.016 | 0.032 | 1.5 | 2 | 1 | None |
134/04 | >256 | 4 | 0.38 | 1 | 0.125 | 0.094 | <0.016 | <0.016 | <0.016 | <0.016 | <0.016 | 0.047 | 1 | 0.032 | <0.016 | 0.032 | 0.064 | 2 | 128 | 4 | TEM-1 |
634/04 | 1 | 1 | 0.38 | 1 | 0.25 | 0.125 | <0.016 | <0.016 | <0.016 | <0.016 | <0.016 | 0.023 | 1 | 0.032 | <0.016 | 2 | 4 | 0.5 | 2 | 0.75 | None |
Abbreviations for antimicrobial agents follow (NCCLS 2004 breakpoints for susceptibility [S] and resistance [R] [in micrograms per milliliter] are given in parentheses): AMP, ampicillin (S ≤ 8, R ≥ 32); SAM, ampicillin plus sulbactam (S ≤ 8/4, R ≥ 32/16); AMC, amoxicillin plus clavulanate (S ≤ 8/4, R ≥ 32/16); FOX, cefoxitin (S ≤ 8, R ≥ 32); PIP, piperacillin (S ≤ 16, R ≥ 128); TZP, piperacillin plus tazobactam (S ≤ 16/4, R ≥ 128/4); CRO, ceftriaxone (S ≤ 8, R ≥ 64); CTX, cefotaxime (S ≤ 8, R ≥ 64); CTL, cefotaxime plus clavulanate; CAZ, ceftazidime (S ≤ 8, R ≥ 32); TZL, ceftazidime plus clavulanate; FEP, cefepime (S ≤ 8, R ≥ 32); IPM, imipenem (S ≤ 4, R ≥ 16); MEM, meropenem (S ≤ 4, R ≥ 16); ATM, aztreonam (S ≤ 8, R ≥ 32); CIP, eiprofloxacin (S ≤ 1, R ≥ 4); LVX, levofloxacin (S ≤ 2, R ≥ 8); AMK, amikacin (S ≤ 16, R ≥ 32); GEN, gentamicin (S ≤ 4, R ≥ 8); TOB, tobramycin (S ≤ 4, R ≥ 8).
These strains caused three different BSI in the same patient.